| NPI | 1013274919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: VA 0101270281) |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist (Licence: VA 0101270281) |
| 207WX0107X Ophthalmology, Retina Specialist (Licence: MD D0090209) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2023-08-10 |